But Gawande found that when the nurses monitored the physicians in their procedures, fully 30 percent skipped at least one of the essential five steps to preventing infection. Worse still, this study was not just in a typical hospital setting, it was infection control in the ICU, one of the most critical places to control infections...Yikes!
Now don't go and delay your upcoming appendectomy just because I'm talking about a life and death issue in medicine. Hospitals are aware of the sources of the threat, and their staffs are working hard to prevent it.
But you don't know where the threat is coming from in your profession. Do you? Every time you hit the street, head out on a warrant, plan a buy/bust, or answer a call, you could face unknown and unpredictable dangers. That's why you need a checklist.
Do you wear your seatbelt? Does your flashlight work? And did putting your body armor on make you feel invulnerable or remind you that someone somewhere would love to test your armor today while you have it on?
Pilots know takeoff and landing are the most critical times of flying and are trained to do their checklists from the printed checklist and not from memory to ensure that one of the critical elements of flight safety isn't skipped. Physicians and surgeons are using checklists more and more to ensure patient safety. And I think we should each develop our own checklist for our assignment.